1 / 13

Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases. David Walshe Cork, Ireland. Literature review of accident victims. Diagnosis at 1 year post accident (Mayou R 2001) Accident Phobia 17% P.T.S.D. 17%

uriah-jimenez
Download Presentation

Lessons learned from V.R.E.t. with 200 accident victims: a review of 50 consecutive cases

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Lessons learned from V.R.E.t. with 200 accident victims:a review of 50 consecutive cases David Walshe Cork, Ireland

  2. Literature review of accident victims Diagnosis at 1 year post accident (Mayou R 2001) Accident Phobia 17% P.T.S.D. 17% G.A.D. 18%

  3. Early VRET research • Combination VR software +video games effective Walshe et al (2003)

  4. Tweaking the system ‘tweaking the system Increasing immersion rate from 50% to 92% Walshe et al (2005) • taping sessions useful Walshe et al(2006)

  5. Video games ok

  6. V.R.E.T. with 50 accident phobics • Sex: M 14, F 36 • Age: 25-77 yrs Mean = 44 yrs • VR range 4-25 Mean = 7 sessions • Drop outs = 16 • More than 1 dx = 30 (60%) • Litigants= 34/50 (68%)

  7. Review of 42 patients: efficacy

  8. Lessons learned:Accident phobia ‘tip of the iceberg’ 60% >1 diagnosis (P.T.S.D., anxiety disorder, depression, panic disorder,)

  9. consider appropriate options • Pharmacotherapy • taped imaginal exposure • E.M.D.R.

  10. Lessons learned:Understanding failures • Drop-outs • Anxiety factors V.R.E.T. can be counter- productive • Compensation factors (68% litigants)

  11. Lessons learnedtreatment expectations • Expect success from VRET 70% ‘non phobic’ if complete treatment • but warn of possibility of residual anxiety

  12. the gold standard? ‘Exposure in vivo’or V.R.E.T. Driving exposure

  13. The way forward? • link with driving instructor ? + • virtual car? - • better software for VR/games + • ‘px’. video games-

More Related